RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken

Address: 50 Helmsdale lane Great Sankey Undertaken: 15/05/19 By: Caroline Mcloughlin
Warrington – Living Room
Activity or Review Signature
Situation: Photographs Date: 15/05/19

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (4) What action can be taken
risk to further reduce risk?
Slipping on wet grass/ leaves 2x2=4 Model and Photographer Walk slowly and carefully so we Don’t go shoot when it’s raining or
don’t slip or end up injury anyone wet
or anything

Dogs 2x1=2 Model and Photographer Don’t annoy the dogs and be Wait until dogs have passed so
careful around them. we don’t get effected by them.

Broken Benches 2x2=4 Model and Photographer Watch where you sit and check if Don’t sit on any benches and wait
they're broken. until you get home.

Bumping into trees 1x1=1 Model and Photographer Again watch where you’re going Stay on the path so we avoid the
and don’t hold anything to block trees
your view.
Bumping into people 2x1=2 Model and Photographer
Watch where you’re going and Avoid people completely and wait
don’t run so you can’t trip over till they have passed.
people

1. List hazards something with the potential to cause harm here:

Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you expect to
gain.
(1) Hazard
RISK RATING
a SEVERITY
5 Dying or being permanently disabled
4 Serious injury/long term illness
3 Temporary disability/3 days off sick
2 Will need medical attention
1 Minor injury eg. Bruise, graze
Action Required
Risk (2) Who might be harmed and how?
b LIKELIHOOD
5 Will almost certainly happen
4 Highly likely to happen
3 Not so likely
2 Even less likely
1 Unlikely to happen at all
SO: a x b = c
(3) What controls exist to reduce (5) What action can be taken
risk to further reduce risk?
c FINAL SCORE RATING: what needs to be done
16-25 Stop! Do not start activity again until risk is
controlled
10-15 High risk level, High priority. Take action
straight away to control the risk
6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
3-5 Fairly low risk level. Low priority but keep
possible action in mind
1-2 Low or trivial risk. No further action
required.
Responsible Person Date for Completion